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- Today's Date*
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Format: (000) 000-0000.
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- What type of assistance are you looking for? Select all that apply*
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- Areas of Focus Select all that apply*
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- Home Environment & Safety Considerations Select all that apply*
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- What type of transition are you preparing for?
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- What types of support would be most helpful? Select all that apply
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- What type of moving assistance do you need?
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- What types of moving support are you interested in? Select all that apply
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- What type of paper organization assistance are you interested in? Select all that apply
- Approximately how much paperwork needs attention?
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- Project Goals & Priorities Select all that apply
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- Which benefits or outcomes are most important to you? Select all that apply
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- Learning Style - How do you learn best? (Select one):
- Are there any preferences or support needs that would help make your organizing experience more comfortable and productive? Select all that apply
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- How would you prefer unwanted items to be handled? (Select all that apply)
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- What types of items are you interested in selling? Select all that apply
- Appoximately how many items are you considering for resale?
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- Are you planning to use mostly existing items, purchase new storage products or a combination of both? (Check one)*
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- What types of items would you like assistance sourcing? Select all that apply
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- Should be Empty: